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Working in partnership to deliver 7 day services

Dr Andrew Gibson Deputy Medical Director at Sheffield Teaching Hospital NHS Foundation Trust spoke at today’s conference on ‘working in partnership to deliver 7 day services: lessons from a 7 day early adopter site’. In his presentation Dr Gibson discussed:

• working in partnership across our hospitals, community health services, primary care and Local Authority to deliver 7 day services
• mainstreaming seven day services 
• delivering Standard 3: multidisciplinary team review 

Dr Gibson's PowerPoint presentation is available for download at the end of this page.

In his presentation Dr Gibson commented;

‘I wouldn’t be here today if I thought  our hospitals were completely safe every day of the week’

‘Money really needs to be spent to make this work, and you need staff to be able to be able to make the rotas work for a 7 days a week service’

‘Data is so important, To persuade people to do things you need to show them that it’s better – I think data will solve this problem’

‘The moral argument for 7 days services is overwhelming’

‘The principal we would like to work is to improve the capability of our own staff’ Recruiting for some acute physicians has been incredibly difficult’

‘we have to do something about the work force now, if you don’t have support, it’s a battle all the time’

Abstract of Dr Gibson’s presentation

The presentation describes the approach of STHFT in engaging with and moving towards seven day services and acknowledges the principles that are used and uses case studies to exemplify progress to date. STHFT is relatively well positioned as most clinical specialities are well represented and already participate in seven day service delivery.
The reliance on data to fuel debate within the organisation is crucial but data should not be generated for its own sake but to construct arguments for change at a time of scarce resources. 

A series of change mechanisms are described many of which are well known in theory but often difficult to operationalise at pace and scale. These change mechanisms are well embedded in the Trust and demonstrate that multiple methods need not be mutually exclusive nor wanted in any one organisation.

The case studies are examples that are specifically relevant to the 10 Acute Care standards depicted in one or two slides which belie the extensive work required to achieve the outcomes described. Specifically seven day consultant presence, handover, integrated care, ongoing review through coordinated care, and 24/7 diagnostics availability are discussed. The case studies will also highlight problems that have had a rigorous analysis but as yet are unsolved.

The overall presentation is aimed at describing the transformation of organisational attitudes about seven day services, how momentum has been gained and how it will be sustained.

Andrew Gibson was born in Lancashire and studied neurosciences in London where he obtained a masters and a PhD before starting medicine at the Middlesex Hospital in 1984. After qualification he trained in London before moving being appointed as consultant neurologist in 1996 in Sheffield becoming a Fellow of the RCP in 2000. He was Director of Medical Education in Sheffield for 10 years before becoming Deputy Medical Director in 2009. His DMD portfolio includes responsibilities for acute and urgent care, seven day services, workforce innovation, end of life care and hospital mortality review.  His neurological interests are epilepsy, neuromuscular disorders and more latterly sleep medicine. 

Future events of interest:

Consultant Job Planning
Tuesday 17 November 
Hallam Conference Centre, London

Managing and Reducing Bank and Agency Staff in Nursing
Tuesday 19 January 
Hallam Conference Centre, London

Measuring, Understanding and Acting on Patient Experience Insight
Friday 29 January 2016 
Hallam Conference Centre, London

Masterclass: Developing your Leadership Skills
Tuesday 2 February 2016 
Hallam Conference Centre, London

Measuring & Monitoring Clinical Quality
Wednesday 3 February 2016 
ICO Conference Centre, London

Masterclass: Marketing Yourself and Your Service
Tuesday 1 March 2016 
Hallam Conference Centre, London

Developing the Role of the Physician Associates
Tuesday 1 March 2016 
Hallam Conference Centre, London

Download: Andrew Gibson full presentation

9 November 2015


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